Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.30 / $2,254.57 / $14,482.00	Facility		$1,109.30	$2,254.57	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,152.00	Facility		$5,060.00	$7,979.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,827.71 / $3,304.41 / $5,329.89	Facility		$2,827.71	$3,304.41	$5,329.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,102.23 / $1,475.01 / $2,197.75	Facility		$1,102.23	$1,475.01	$2,197.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,109.30 / $3,193.00 / $8,783.00	Facility		$1,109.30	$3,193.00	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,109.30 / $1,508.96 / $2,197.75	Facility		$1,109.30	$1,508.96	$2,197.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,170.35 / $3,351.35 / $4,450.97	Professional		$2,170.35	$3,351.35	$4,450.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,041.34 / $9,041.34 / $9,041.34	Facility		$9,041.34	$9,041.34	$9,041.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00